Provider First Line Business Practice Location Address:
151 PARSELLS AVE
Provider Second Line Business Practice Location Address:
JORDAN HEALTH AT COMMUNITY PLACE
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-454-7530
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2012